Joeniel Jovero 1 1. Describe how each stage of the caring process was depicted in “Tuesdays with Morrie”.
Compare and contrast caring in meaningful social relationships and professional nurse caring in the health care setting. If Mitch is a registered nurse, what can be considered as the therapeutic aspects of his interactions with Morrie and Morrie’s family? Give three specific examples of these therapeutic interactions. The stages of the caring process were depicted dividedly between Mitch’s attendance at the college and sixteen years after graduation. Attachment and assiduity stages transpired during freshman year. Attachment stage initiated on the first day of class when Morrie asked if Mitchell if he preferred to be called Mitch or Mitchell. Another example of the attachment stage is when Mitch began calling Morrie “coach”. Mitch respected and adored Morrie very much that he took all the sociology class that Morrie taught. This led to collaboration to create a thesis paper, which also deepened their bond. They met after class to discuss not only the thesis paper but also about different topics of life. This is a depiction of assiduity. Intimacy and confirmation attained peak in the remainder of Morrie’s lifespan. Mitch began visiting Morrie every Tuesday at his home. They talked about the world, feeling sorry for yourself, regrets, death, family, emotions, fear of aging, money, how love goes on, marriage, culture, forgiveness, the perfect day, and saying goodbye. This depicted intimacy because they had very close “physical, mental, and social association,” and they both were able to express themselves without reservation. Depiction of confirmation stage can be seen when Mitch was comfortable enough to assist Morrie with his activities of daily living like moving his head when it tilted to one side, or to transfer Morrie from bed to chair. The ultimate depiction of confirmation is the creation and publication of the book. Mitch’s weekly visit to Morrie’s household is very therapeutic to Morrie and his family as well as the nursing staff that care for him. Mitch’s visits provided Morrie’s family and caretakers the opportunity to take a breath and relax a bit. Mitch’s visits also brought plenty of happiness to the dying “coach” because he was able to impart knowledge and discussed his innermost fears, ideas, and philosophy. It gave Morrie a sense of purpose. Mitch’s occasional therapeutic touch was very valuable to Morrie. The slightest human contact left a smile on his face. Also, bringing Janine, Mitch’s wife, was very therapeutic for Morrie. Bringing Janine was an acknowledgement of how much Morrie meant to Mitch. Also, Janine sang a song that left him with tears running down his cheeks.. 2. Develop a plan of care for Morrie based on your knowledge and understanding of his health condition. Do not use a table. Problem: Impaired gas exchange related to atelectasis secondary to impaired cough/sneeze reflexes and/or hyperventilation and ineffective breathing pattern related to progressive loss of mobility/paralysis. Inadequate oxygen perfusion to the tissues leads to inability to generate energy; therefore, this is an energy problem. Goal: Patient will perform deep breathing and coughing exercises three to five times a day before meals and snacks to encourage lung expansion. Patient will utilize incentive spirometer three to five times every hour to encourage lung expansion. This goal is to maintain airway and encourage lung expansion; therefore, this is a maintenance goal. Interventions: Elevation of the head of the bed to ease shortness of breath and provide comfort during sleep. This will fall on the category of energy because this will increase energy production by increasing oxygen tissue perfusion. Assess changes from baseline respiratory rate, depth, pattern, chest expansion, adequacy of respiratory exchange and effort; retraction of
intercostals spaces. I believe that I have the following four characteristics of the critical thinker: intellectual humility. I need to assess her knowledge of proper body mechanics as a way to establish rapport. & Friberg. 2010). She will be taught how to transfer Morrie from the bed to his chair. I was a math tutor for the college a couple years ago. diaphragmatic breathing. 2010). Develop a teaching plan: Charlotte is Morrie’s dedicated wife. You are the visiting nurse attending to the learning needs of Morrie and/or his family regarding his health condition and care needs. We will use her husband’s equipment to become familiar with how they work and this helps to establish the mood. nasal flaring and use of cervical accessory muscle of respiration. and intellectual integrity. 3. color (cyanosis). 4. Substantiate these characteristics with actual interactions and/or situations. First. abdominal breathing. & Friberg. I explained mathematical concepts to my tutees in simpler and direct approach applying different techniques for different learning styles such as visualization where I perform the calculations on the green board for visual learners. and swallow reflexes. I am open to correction and criticism as long as they are constructive for me or for my patient. & Friberg. Intellectual empathy is the ability to understand another person’s viewpoint by placing oneself in other person’s place or shoes (Cresia. Identify a specific aspect of his care that needs to be taught to his caregiver and/or family. For example. For kinesthetic learners. intellectual empathy. Intellectual integrity is the ability to admit fault and the application of standards (Cresia. evaluation. Her objective is to demonstrate successful transferring of Morrie from bed to his wheelchair while maintaining proper body mechanics to prevent injury. Review the characteristics of the critical thinker. I was bemused but listened to her reasoning behind the idea. Last semester I had to tell my nurse that I incorrectly labeled one of tubes for the blood and I was able to correct my mistakes before it was taken by lab. This will be a teaching category because we need to educate the patient about the proper use of the device to effectively promote proper lung expansion and tissue perfusion. and plan implementation. intellectual courage. when we had our foley check-offs Eileen suggested that I should place a blanket over my patient before positioning my sterile field. Describe how you have demonstrated four of these characteristics. Intellectual humility is an understanding to the limitation of one’s knowledge and the possibility of having incorrect information or assumptions (Cresia. I would take a problem from their homework and have them solve it at the board. 2010). gag. Then.
. & Friberg. I need to identify Charlotte’s learning style. including those that oppose own beliefs (Cresia. to identify her body of knowledge. cough. I have this characteristic because I am a nursing student and I constantly double check that I have the correct information or that my thinking is accurate about nursing concepts by asking my instructors and peers. Except behavioral theories. I will utilize the application of cognitive theory. It is gathering data. which is primarily tactile and visual. She is primarily a tactile learner but she also learns by visualization and can follow directions very well. identify her readiness to learn. Afterwards. consider one of the groups of teaching and learning theories. 2010). This is a nursing process category. She will demonstrate transferring techniques utilizing proper body mechanics with me as the patient. Possessing intellectual courage denotes the eagerness to listen and observe different ideas. and prevent possible injuries. I will verbalize instructions as well as demonstrate transfer techniques because she can follow directions very well and she is a visual learner. I also talk about the steps and the rational for each step for audio learners. Usage of incentive spirometer will promote lung expansion. This will also enforce her knowledge because she is primarily a tactile learner.
and causes. Misinformation is a major disadvantage of having access to health care information from the Internet because not every website is credible. signs and symptoms. You can even access them on your phone. great customer service goes a long way. Information from the Internet is virtually free of charge. Also.
. In other words. There are plenty of websites such as WebMD or Mayo clinic that provide easy to understand information on illnesses. treatment. What advantages do you see to consumers having access to health care information from the Internet? What challenges does this present to practitioners? How do you recommend practitioners deal with the challenges? The greatest advantage of Internet is convenience. This commodity allows for more informed healthcare consumers. Practitioners also need to spend adequate time with the patient to answer all their questions and concerns. Due to the rise of the Internet. This misinformation can lead to poor healthcare choices and poor relationship between patients and doctors. if a consumer has a question regarding medications he/she can search them in the Internet without leaving his seat or house. It also saves consumer time and money because they do not have to wait in the doctor’s office and pay for the visits. We need to empower them to advocate for their own health. Practitioners can deal with these problems by suggesting credible websites for the patients to visit. health issues and questions about anything from illnesses to medications can now be acquired in seconds.5. Some patient’s would probably argue with the doctor regarding their treatment because the Internet says an alternative treatment.
E. (2010).Reference: Cresia. J. Conceptual foundations: the bridge to professional nursing practice.
. & Friberg. Mosby.